My tipping point was when my weight reached 100 lbs more than when I was 18, and a BMI of 40. Years of constant dieting only caused me to continually gain weight. I was ready to give up and try to be happy with the way I was, it didn’t work, and when I had trouble bending over and getting out of breath going upstairs I knew I needed to do something that was permanent. I had my surgery on 6/28 and am doing great. I wish I hadn’t waited so long.